BROOKE ASHLIE RUDOLPH

LONG ISLAND CITY, NY
NPI1548741903
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  107973)
Enumeration Date2018-08-23
Last Update Date2020-04-10
Business Address
BROOKE ASHLIE RUDOLPH
1430 BROADWAY
LONG ISLAND CITY, NY 11106-4530
Phone number: 718-545-7683
Mailing Address
BROOKE ASHLIE RUDOLPH
8131 BAXTER AVE APT 2D
ELMHURST, NY 11373-1316
Phone number: 309-231-0822
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